Psychiatric morbidity and quality of life in patients with chronic idiopathic urticaria

Özkan, Mine; Oflaz, Serap; Kocaman, Nazmiye; Özşeker, Ferhan; Gelincik, Aslı; Büyüköztürk, Suna; Özkan, Sedat; Çolakoğlu, Bahattin

doi:10.1016/s1081-1206(10)60617-5

Cited by 100 publications

(78 citation statements)

References 30 publications

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“…Concerning chronic urticaria, a study in Turkey documented a higher rate of symptoms of anxiety and depression than the healthy controls (Ozkan et al, 2007). Another study also in Turkey posited a finding of 60% psychiatric disorders of which 66% were of depressive disorders (Yang et al, 2005), whereas, our study shows that 35.5%, 51.6% and 12.9% of those that had chronic urticaria had mild, moderate and severe state of anxiety respectively.…”

Section: Discussioncontrasting

confidence: 57%

Anxiety State and ITS Psychosocial Consequences among Acne Vulgaris and Chronic Urticaria Patients in Abuja

Ukonu¹,

Ibekwe²,

Ezechukwu³

2015

IJPS

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BACKGROUND/OBJECTIVE: the skin defines the essence of beauty and overall perceived attention within a social context. As such, there is a relationship between skin diseases and the extent of provoked emotional psychological disturbances and social concern that the sufferers do have. This study therefore seeks to ascertain levels of anxiety and their psychosocial consequences among sufferers of acne vulgaris and chronic urticaria in dermatological outpatient in Abuja-Nigeria. MATERIALS/METHODS: this study was a prospective, cross sectional study carried out on consecutive consented dermatological outpatients who had acne vulgaris (N = 62) and chronic urticaria (N = 31) over a period of nine months (June 2013-February 2014) and 50 apparently healthy control matched for age and sex were recruited into the study. Diagnosis of acne vulgaris and chronic urticaria were clinically made. Questions on State Trait Anxiety Index STAI (Y-1) form were used to determine their present feelings and level of perceived anxiety within the society as a result of acne vulgaris and chronic urticaria. Total STAI score greater than 54 suggests severe level of anxiety and univariate analysis of variance was used to determine relationship between anxiety and its social consequences. Data was keyed into and analysed with SPSS 20.RESULTS: ratio of male: female for subjects is 1:1.9 and 1:1.3 for controls while mean age in years ± Standard Deviation (SD) for subjects and controls were 29.02 ± (9.2) and 28.42 ± (8.3) respectively. There was sex and age match between subjects and controls. Also, there was observable moderate to severe anxiety among those that had acne vulgaris and chronic urticaria as compared to apparently healthy controls. Low self-esteem, inferiority complex, lack of self-confidence, and social withdrawal, were among the common social reactions noticeable among the subject group. Mean STAI score ± s.e (standard error) of subjects was significantly higher than that of the controls 49.7 ± 0.788 and 33.9 ± 1.255 respectively at t-test = 11.2 and p = 0.0001. CONCLUSION: acne vulgaris and chronic urticaria was highly associated with moderate to severe anxiety with attending social reactions when compared to apparently healthy controls.

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Section: Discussioncontrasting

confidence: 57%

Anxiety State and ITS Psychosocial Consequences among Acne Vulgaris and Chronic Urticaria Patients in Abuja

Ukonu¹,

Ibekwe²,

Ezechukwu³

2015

IJPS

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“…Although psychological stress in isolation is unlikely to be the sole trigger, a high frequency of patients with CsU report a stressful event preceding the onset of CsU [31] and the possibility of a causal influence of emotional distress, especially of stressful life events, on the course of skin diseases has long been postulated [32]. Patients with CsU experience high rates of anxiety, depression and somatoform disorders such as fibromyalgia, with half of subjects with CsU being affected by at least one of these conditions [33,34].…”

Section: Mechanismsmentioning

confidence: 99%

BSACI guideline for the management of chronic urticaria and angioedema

Powell

Leech

Till

et al. 2015

Clin Experimental Allergy

240

220

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SummaryThis guidance for the management of patients with chronic urticaria and angioedema has been prepared by the Standards of Care Committee of the British Society for Allergy and Clinical Immunology (BSACI). The guideline is based on evidence as well as on expert opinion and is aimed at both adult physicians and paediatricians practising in allergy. The recommendations are evidence graded. During the development of these guidelines, all BSACI members were included in the consultation process using a Web-based system. Their comments and suggestions were carefully considered by the Standards of Care Committee. Where evidence was lacking, a consensus was reached by the experts on the committee. Included in this management guideline are clinical classification, aetiology, diagnosis, investigations, treatment guidance with special sections on children with urticaria and the use of antihistamines in women who are pregnant or breastfeeding. Finally, we have made recommendations for potential areas of future research.

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“…[14,15] In contrast to the present study Ozkan M et al and Zachariae R et al recorded depression more prevalent psychological disorders instead of anxiety in chronic urticairia patients. [16,17] These lesions appeared during chronic urticaria produce decrease of self-confidence and alter the self-image of the patients. Moreover, self expectancy is moderately affected in such patients.…”

Section: Discussionmentioning

confidence: 99%